Epidemiology [301-314]: 301. The Population Prevalence of Foot and Ankle Pain Over the Age of 45 Years: A Systematic Review

Thomas, Martin J.; Peat, George; Roddy, Edward; Menz, Hylton B.; Jordan, Kelvin; Croft, Peter; Docking, Rachael; Fleming, Jane; Zhao, Jingbo; Brayne, Carol; Macfarlane, Gary J.; Jones, Gareth T.; Bedson, John; Martino, Orsolina I.; Dugué, Audrey Emmanuelle; Greenbank, C.; Evans, Bethan; Diggle, Peter J.; Goodson, Nicky; Fenech, Valerie Anne; Farrugia, Cecilia; DeGaetano, James; Grixti, Charles J.; Borg, Andrew; Prieto‐Alhambra, Daniel; Javaid, M K; Maskell, Joe; Judge, Andrew; Nevitt, M.; Cooper, Cyrus; Arden, N K; Hill, Jonathan; Konstantinou, Kika; Egbewale, Bolaji Emmanuel; Dunn, Kate M.; Lewis, Martyn; Windt, Daniëlle van der; Zwierska, Irena; Packham, Jonathan; Chambers, Thomas M.; Johansson, Helena; Halsey, J P; Bukhari, Marwan; Fatima, Firdaus; Moots, Robert J.; Rao, Uppuluri Ramakrishna; Goodson, Nicola J.; Soni, Anushka; White, Karen E.; Kiran, Amit; Goulston, L; Hart, Deborah; Spector, Tim D.

doi:10.1093/rheumatology/keq733

Cited by 2 publications

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“…In those consenting to medical record review, prescriptions for analgesics and NSAIDs were identified on the day of the index consultation. Prescriptions for analgesics were grouped according to an adapted classification of the criteria of Bedson et al (2010) as mild, moderate or strong analgesics, or an NSAID, which, although having analgesic effects, were considered a separate group to general analgesics because of their anti-inflammatory properties (Fig. 1).…”

Section: Outcome Of Interestmentioning

confidence: 99%

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The association between pain intensity and the prescription of analgesics and non‐steroidal anti‐inflammatory drugs

Müller

Bedson

Mallen

2012

European Journal of Pain

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BackgroundIt is not known whether general practitioners (GPs) prescribe analgesic medication according to intensity of pain or a hierarchical prescribing regimen.AimsThe aim of this study was to assess the association of strength of pain-relief medication prescribed by the GP with the strength of previous prescription and pain level.MethodsThe PROG-RES study collected data on pain intensity in 428 patients aged ≥50 years with non-inflammatory musculoskeletal pain during a consultation with their GP. Prescriptions for analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) were identified on the day of the consultation and in the previous year and were classified as basic, moderate or strong analgesic or NSAID. Regression models were used to assess the association of strength of analgesia and prescription of a NSAID with the strength of previous prescription and the level of pain.ResultsThe majority of patients were not prescribed medication for their pain at the index consultation, but had such a prescription the previous year. There was an association between strength of analgesic and intensity of pain: more intense pain resulted in a stronger drug. This association was attenuated by adjustment for prescribed analgesia in the previous year. There was no association between intensity of pain and NSAID prescription, but previous NSAID prescription predicted another such prescription.ConclusionGPs do not always issue prescriptions for musculoskeletal pain. In cases where a prescription is issued, this is more strongly influenced by previous prescriptions than the patient's pain level. GPs adopt an individualized approach to the treatment of musculoskeletal pain in older adults.

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Section: Outcome Of Interestmentioning

confidence: 99%

“…Prescriptions for analgesic medications were identified in 12 months prior to the index date and were classified according to the adapted criteria of Bedson et al (2010). Where a person had received more than one such prescription in the 12-month period, the most recent prescription was used in the analysis.…”

Section: Predictors Of Interestmentioning

confidence: 99%

The association between pain intensity and the prescription of analgesics and non‐steroidal anti‐inflammatory drugs

Müller

Bedson

Mallen

2012

European Journal of Pain

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“…Analgesics are commonly prescribed in the United Kingdom. One study found 10% of all prescriptions in 1 year were for painkillers (Bedson et al, 2010). The overall 4-week prevalence for any pain symptom has been estimated at 66% in the general population (Gureje et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of national guidance in changing analgesic prescribing in primary care from 2002 to 2009: An observational database study

Bedson

Belcher

Martino

et al. 2012

European Journal of Pain

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BackgroundNumerous national guidelines have been issued to assist general practitioners’ safe analgesic prescribing. Their effectiveness is unclear. The objective of this study was to examine trends in general practitioners’ prescribing behaviour in relation to national guidelines.MethodsThis was a retrospective observational database study of registered adult patients prescribed an analgesic (2002–2009) from the Consultations in Primary Care Archive – 12 North Staffordshire general practices. Prescribing guidance from the UK Medicines Regulatory Health Authority (MHRA) regarding non-steroidal anti-inflammatory drugs (NSAIDs) and co-proxamol, and the National Institute for Health and Clinical Excellence (NICE) osteoarthritis (OA) management guidelines were considered. Analgesic prescribing rates were examined, arranged according to a classification of six equipotent medication groups: (1) basic analgesics; (2)–(5) increasingly potent opioids and (6) NSAIDs. In each quarter from 2002 to 2009, the number of patients per 10,000 registered population receiving a prescription for the first time from each group was determined. Quarters associated with significant changes in the underlying prescribing trend were determined using joinpoint regression.ResultsA significant decrease in incident co-proxamol and Cox-2 prescribing occurred around the time of the first MHRA advice to stop using them and were rarely prescribed thereafter. The new prescribing of weak analgesics (e.g., co-codamol 8/500) increased at this same time. Initiating topical NSAIDs significantly increased around the time of the NICE OA guidelines.ConclusionsSignificant prescribing changes occurred when national advice and guidelines were issued. The effectiveness of this advice may vary depending upon the content and method of dissemination. Further evaluation of the optimal methods for delivering prescribing guidance is required.

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Epidemiology [301-314]: 301. The Population Prevalence of Foot and Ankle Pain Over the Age of 45 Years: A Systematic Review

Cited by 2 publications

References 3 publications

The association between pain intensity and the prescription of analgesics and non‐steroidal anti‐inflammatory drugs

The association between pain intensity and the prescription of analgesics and non‐steroidal anti‐inflammatory drugs

The effectiveness of national guidance in changing analgesic prescribing in primary care from 2002 to 2009: An observational database study

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